Omar Banos, MSMGF Tri Do, API Wellness Center/UCSF Mohan Sundararaj, MSMGF

PROCESS OF DEVELOPING MSMIT Coordinating group met to develop outline (March 2014) 50 volunteer experts (including community) drafted chapters Coordinating group met to review chapters (July 2014) Consultation meeting with community and other experts, (Bangkok, October 2014) Expert peer review, editing, and UN clearance process Publication, dissemination and use!

WHO IS THIS TOOL FOR Public-health officials and managers of HIV and STI programmes; NGOs, including community and civil-society organizations; and Health workers. It may also be of interest to: International funding agencies, Health policy-makers and Advocates. 3

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CHAPTER 1 COMMUNITY EMPOWERMENT 5

6 Power and health Working with communities of MSM Fostering programmes led by MSM Developing cohesive communities Promoting a human-rights framework Community systems strengthening Shaping policy and creating enabling environments Adapting to local needs and contexts Supporting community mobilization and sustaining social movements Monitoring progress

CHAPTER 2 ADDRESSING VIOLENCE 7 Lviv, Ukraine

CHAPTER 2 ADDRESSING VIOLENCE 8 Lviv, Ukraine Contexts of violence Values and principles for addressing violence Promising interventions and strategies Building capacity and self-efficacy Working for legal and policy reforms Fostering police accountability Promoting safety and security Providing health services Providing psychosocial, legal and other support services Management, monitoring and evaluation

CHAPTER 3 CONDOM AND LUBRICANT PROGRAMMING 9

10 Principles of condom and lubricant programming Steps in effective condom and lubricant programming Establishing accessible supplies Condom and lubricant social marketing programmes Creating demand Creating an enabling environment for programming Lubricant programming Other considerations Programming with young MSM Programming with male sex workers

CHAPTER 4 HEALTH- CARE SERVICE DELIVERY 11

CHAPTER 4 HEALTH-CARE SERVICE DELIVERY 12 HIV services continuum – the cascade Combination prevention Behavioural interventions– Voluntary HTC Sexual/risk history-taking– PrEP Serosorting & strategic positioning– PEP Condom and lubricant promotion– Anal health & erectile STI testing and treatment dysfunction Care and treatment Antiretroviral treatment and care – Mental health TB testing and treatment – Drug and alcohol use Service delivery approaches Clinical approaches– Using ICT Community-led approaches– Safe spaces

CHAPTER 4 HEALTH-CARE SERVICE DELIVERY 13

CHAPTER 5 USING INFORMATION AND COMMUNICATION TECHNOLOGY (ICT) 14

CHAPTER 5 USING INFORMATION AND COMMUNICATION TECHNOLOGY (ICT) 15 ICT programme planning and integration ICT and programme implementation across the HIV continuum Increasing reach and promoting HIV prevention and testing Promoting commodities and services Strengthening service quality Virtual supporting communities ICT for the enabling environment Engaging the private sector ICT and programme management

CHAPTER 6 PROGRAMME MANAGEMENT AND ORGANIZATIONAL CAPACITY-BUILDING 16

CHAPTER 6 PROGRAMME MANAGEMENT AND ORGANIZATIONAL CAPACITY-BUILDING 17 Define programme and standards Establish a data system Plan the programme evaluation Define the management structure Progressively ensure full participation of MSM Prioritize Implement in a staged manner Establish a supportive supervision system Capacity-strengthening and programme learning Staff development

CHAPTER 6 PROGRAMME MANAGEMENT AND ORGANIZATIONAL CAPACITY-BUILDING 18 Part II: Strengthening the capacity of organizations of MSM Forming a registered organization Governance Project management Technical support and capacity-building Resource mobilization Networking Part III: Programming in difficult or dangerous contexts

WHAT’S NEXT? ADVOCACY 19 Implementation Guidelines UptakeStrategies

WHAT’S NEXT? Dissemination Ensure that community / decision makers / healthcare providers and key stakeholders know, are familiar with the tool, and use it 20

WHAT’S NEXT? 21

WHAT’S NEXT? Program design, implementation and services Implement programs, protocols, plans and strategies; uptake by health departments 22

CPR: E-LEARNING FOR HEALTH PROFESSIONALS SERVING GAY AND BISEXUAL MEN 23 CPR* is an e-learning hub for health professionals assembled by the Global Forum on MSM & HIV (MSMGF). It offers continuing education opportunities for all health professionals including healthcare providers and community and government clinic workers, NGOs and CBOs, and other health sector stakeholders

ACTIVITY A - ADVOCACY SMALL GROUPS BY REGION 24

ACTIVITY A - ADVOCACY How will you advocate for scale-up of MSM and HIV- related programming in your country/region using the MSMIT? - Who are the people or entities you need to convince to implement MSM programming? Who will be your allies in making the case? - What barriers do you anticipate in your region, countries, or localities for advancing MSM programming? What opportunities can be leveraged? - What next steps can you take when you return from the conference? 25

ACTIVITY B - IMPLEMENTATION You are a team of new managers, program staff, policy makers and clinicians and are charged with operationalizing a new Global Fund program for MSM. 26

ACTIVITY B - IMPLEMENTATION MSM in Country X are disproportionately impacted by HIV with prevalence rates as high as 18-20%. Homosexuality is criminalized and there are no anti-discrimination laws in place to protect MSM or LGBT people. The President recently made a homophobic statement saying that gay people are mentally ill and that they can be successfully “cured” of their homosexuality. Despite a climate of homophobia, the Ministry of Health just received 10 million US dollars from the Global Fund to provide HIV-related prevention, treatment, care and support services for gay men in

GROUP 1: POLICY MAKER You are a policy maker within the National AIDS Control Organization of Country X. Design an approach for involving the community in grant implementation. 28

GROUPS 2-4: Your organization, HealthCare Y, is a community health clinic serving the general HIV-positive population. It has not provided HIV prevention services or ever served MSM. 29

GROUP 2: MANAGERS Your organization will receive 1 million dollars to implement the Global Fund grant in 2017 and you are a member of the senior management team. Create an organizational chart illustrating the necessary staffing pattern to implement. 30

GROUP 3: PROGRAM STAFF You are a member of the program staff in your organization, HealthCare Y. Design a minimum package of HIV-related interventions. 31

GROUP 4: CLINICAL CARE PROVIDER You work as a healthcare provider at HealthCare Y. Design a strategy to help transition HIV-related services to a more inclusive model of delivering sensitive, high-quality services for MSM. 32

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